| NPI | 1174212047 |
|---|---|
| Doing Business As | REVITALIZE PSYCHIATRIC SERVICES |
| Entity Type | Organization |
| Authorized Contact | JULIE C MARTINEZ President 303-414-1164 |
| Organization Subpart ? | No |
| Primary Taxonomy | 363LP0808X Nurse Practitioner, Psych/Mental Health |
| Enumeration Date | 2023-05-05 |
| Last Update Date | 2023-06-21 |